2008-09-06
The seeming appearance of Organizations Part 1
Healthcare Professions

If someone wanted to measure customer satisfaction of Health Organizations, one could also understand the failure of some twenty years of unnecessary structuring efforts. Historically organizations have struggled with the Weber's" bureaucratic straitjacket” and the Michels' "iron fist of oligarchic control". Perhaps more than any others, these two famous sociologists were able to photograph behaviors and characteristics of Organizations aimed to achieve a result with subtle forms of exploitation. We continue to talk about Law 626 and update its fundamental aspects, we discuss business organization and modernization and the development of new structural models (poor Edgar Morin), but we forget that most of the risks to which workers are subject to are allowed by law and considered "inevitable aspects", while we continue to mourn the same inevitable deaths. It is historically proven that multinational enterprises can rob the countries that host them of their resources and workforce, and the Hospital Companies can be compared to any of the" hunting grounds" in which multinationals create an increasing dependence on their presence, by giving small "cadeaux" (gifts) also during the structuring phase. We do not remember any pseudo-scientific event that did not mention excellent sponsors, which are among those that have alarmingly increased the black hole of health expenditure, despite the fact that the law bans their "direct involvement" citing the conflict of interests. The Organizations, while presenting themselves as a group of people with shared goals and able to meet the interests of all, are instead very far from such reality, and represent an ideology of domination and / or control. None of them have questions outside the formal activities, where some people think that they have the right to govern, and that others bear the duty to obey. Bureaucratization and rationalization are dangerous paradigms that neglect the real interests and the necessary welfare of the masses, in favor of limited groups of individuals that operate against the wishes of the top and the base of the Organization itself, allowing, our dependence from the administration, the rules, the unwritten laws of political parties and trade unions, and the misinterpretation of the costs/benefits ratio, to prevail. Our structure, is an Ab company (Abridgement company) which is a crossroad where advanced technologies and users of these technologies (such as customers and human resources with which they operate) meet. The questions that we need to answer, then, are related to the characteristics of the environment, to the critical functions related to the viability of the structure in which we operate, to the possible challenges, to the ability to streamline the cultural heritage (if any) of human resources, to the control of speculative economic interests, etc..
Ciro Scognamiglio
Healthcare Professions
2010-02-22

The main causes of overcrowding in the Italian emergency departments (ED) are attributable to several factors including: the increasing lack of confidence in the General Practitioners, excessively long waiting times for specialist outpatient services and diagnostic tests, the increase size of the population not included in the National Health Service, the organizational evolution of ED as a...
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Healthcare Professions
2009-07-06

Speaking of centers of excellence, without talking of centers of cost, does not have any particular value, particularly in the current economic situation; mentioning some of the "pseudo interim leadership", without making a clear distinction between good and bad leadership. does not have any particular value as well.
A perfect organization does not exist; it keeps a shaky balance between...
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Healthcare Professions
2009-01-09

Thrombolysis therapy is based on the use of intravenous drugs that can dissolve the blood clot (formed by platelets and fibrin and called thrombus) that is created within the cerebral arteries causing ischemic stroke.
Thrombolysis is performed, after a neurologist has made the diagnosis of ischemic stroke.
Treatment with r-tPA (Recombinant Tissue Plasminogen Activator) is initiated after all...
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Healthcare Professions
2008-11-20
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"In some contexts, as in the public ones, there are Education titles with “legal value” that allow access to certain places or guarantee a certain score for the career, while elsewhere the same titles are not recognized and their value is limited to the skills that made it possible to acquire them. These competences, however, do not have an "absolute value" but only a value relative to the...
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Healthcare Professions
2008-09-06

If someone wanted to measure customer satisfaction of Health Organizations, one could also understand the failure of some twenty years of unnecessary structuring efforts. Historically organizations have struggled with the Weber's" bureaucratic straitjacket” and the Michels' "iron fist of oligarchic control". Perhaps more than any others, these two famous sociologists were able to photograph...
read